Provider Demographics
NPI:1215369376
Name:BREVARD CARES INC
Entity Type:Organization
Organization Name:BREVARD CARES INC
Other - Org Name:BREVARD C.A.R.E.S.
Other - Org Type:Other Name
Authorized Official - Title/Position:INTERIM EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:
Authorized Official - Last Name:PARKER
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC #14889
Authorized Official - Phone:321-632-2737
Mailing Address - Street 1:4085 S US HIGHWAY 1
Mailing Address - Street 2:
Mailing Address - City:ROCKLEDGE
Mailing Address - State:FL
Mailing Address - Zip Code:32955-5307
Mailing Address - Country:US
Mailing Address - Phone:321-632-2737
Mailing Address - Fax:321-633-1977
Practice Address - Street 1:4085 S US HIGHWAY 1
Practice Address - Street 2:
Practice Address - City:ROCKLEDGE
Practice Address - State:FL
Practice Address - Zip Code:32955-5307
Practice Address - Country:US
Practice Address - Phone:321-632-2767
Practice Address - Fax:321-633-1977
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-31
Last Update Date:2021-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251S00000XAgenciesCommunity/Behavioral Health